Behavioral Science & Ethics USMLE Step 1 Practice Question
A 62-year-old woman with type 2 diabetes has been nonadherent with her medication regimen for the past year despite multiple counseling sessions. Her hemoglobin A1c has increased from 7.2% to 10.8%. She states she cannot afford her medications and has been rationing insulin. Which of the following is the most appropriate next step?
Answer choices
- ARefer the patient to an endocrinologist for further management
- BExplore patient assistance programs and lower-cost medication alternativesCorrect answer
- CDiscontinue the patient from the practice for nonadherence
- DDocument the nonadherence and continue the current regimen
- EIncrease the insulin dose to compensate for missed doses
- FPrescribe a continuous glucose monitor to improve medication adherence and glycemic control
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